Search › New Jersey › 207R00000X
Gautam Gupta
NPI 1356728869 · on the registry since 2015 · sole proprietor
Practice
- Address
- 350 Boulevard
Passaic, NJ 07055 - Phone
- (973) 365-4000
- Organisation at this address
- Njwc
Royal Rx Inc
Royal Rx Inc
Ccmma Nj Llc
St Marys HospitalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 100
Additional practice sites
- 17716 Phelps Hill Ln, Derwood, MD
- 1122 53rd St Apt 507, North Bergen, NJ
- 1715 Us Highway 46 Apt 463, Parsippany, NJ
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 390200000X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-03-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey